The family of an older patient with hypothyroidism is concerned about the open wounds on the patient's legs and arms. How should the nurse respond to the family's questions about bathing?
1. "Use warm water to bathe the patient."
2. "Make sure she has a daily bath."
3. "Use firm, consistent strokes when bathing."
4. "Follow the bath with a rubbing-alcohol massage."
Correct Answer: 1
The patient with hypothyroidism has dry skin and edema, which increase the risk of skin breakdown. Hot water, rough massage, and the use of alcohol-based products increase skin dryness. The patient should bathe only when necessary, with warm, not hot, water. Gentle motions should be used. Alcohol-free oils and lotions should be used.
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